Individual provider Active NPI

James Patrick Gallagher II, DO

  • Family Medicine Physician
  • Brighton, MI
National Provider Identifier
1154785913
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013706 Issued in OH
Practice address
Iha Primary Care Genoa
2305 Genoa Business Park Drive
Brighton, MI 48114
Phone
(810) 494-6840
Fax
(810) 494-6841
NPI assigned
Apr 7, 2016
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.013706 OH Primary

Addresses

Primary practice location

Iha Primary Care Genoa
2305 Genoa Business Park Drive
Brighton, MI 48114

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

U. S. Marine Corps Forces Command
1775 Forrestal Drive Bldg 33
Norfolk, VA 23551
Phone (757) 836-1552

Other practice location 2

7045 Lighthouse Way
Perrysburg, OH 43551
Phone (419) 873-6836

Other practice location 3

2100 W Central Ave
Suite #200
Toledo, OH 43606-3800
Phone (419) 291-2340

Other practice location 4

2100 W Central Ave
Suite #200
Toledo, OH 43606-3800
Phone (419) 291-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001621 MI Practitioner - Family Practice 6507157948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2305 Genoa Bus Park Dr
Suite 200
Brighton, MI 48114-7005
Phone (734) 995-0308

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.013706OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Family Medicine CurrentSince Jul 15, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Jul 15, 2023 Accepting new patients
Iha Health Services Corporation Family Medicine Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

Interoperability endpoints

  • Direct secure messaging: jgallagher2697353@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1154785913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA PRIMARY CARE GENOA",
            "address_2": "2305 GENOA BUSINESS PARK DRIVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-494-6840",
            "fax_number": "810-494-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "U. S. Marine Corps Forces Command",
            "address_2": "1775 Forrestal Drive Bldg 33",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23551",
            "country_code": "US",
            "telephone_number": "757-836-1552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7045 Lighthouse Way",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "43551",
            "country_code": "US",
            "telephone_number": "419-873-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 W Central Ave",
            "address_2": "Suite #200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063800",
            "country_code": "US",
            "telephone_number": "419-291-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 W Central Ave",
            "address_2": "Suite #200",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063800",
            "country_code": "US",
            "telephone_number": "419-291-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.